PN HESI EXIT 2022-2023/HESI EXIT PN LATEST 2022-2023 QUESTIONS AND CORRECT ANSWERS|AGRADE

PN HESI EXIT 2022-2023/HESI EXIT PN LATEST
2022-2023 QUESTIONS AND CORRECT
ANSWERS|AGRADE
1) The LPN/LVN is preparing to ambulate a postoperative client after
cardiac surgery. The nurse plans to do which to enable the client to best
tolerate the ambulation?

1. Provide the client with a walker.
2. Remove the telemetry equipment.
3. Encourage the client to cough and deep breathe.
4. Premedicate the client with an analgesic before ambulating.
   Correct Answer: 4. Premedicate the client with an analgesic before
   ambulating.
   2) A client is wearing a continuous cardiac monitor, which begins to
   alarm at the nurse’s station. The nurse sees no electrocardiographic
   complexes on the screen. The nurse should do which first?
5. Call a code blue.
6. Call the health care provider.
7. Check the client status and lead placement.
8. Press the recorder button on the ECG console.
   Correct Answer: 3. Check the client status and lead placement.
   3) The LPN/LVN in a medical unit is caring for a client with heart
   failure. The client suddenly develops extreme dyspnea, tachycardia, and
   lung crackles, and the nurse suspects pulmonary edema. The nurse
   immediately notifies the registered nurse and expects which
   interventions to be prescribed? Select all that apply.
9. Administering oxygen
10. Inserting a Foley catheter
11. Administering furosemide (Lasix)
12. Administering morphine sulfate intravenously
13. Transporting the client to the coronary care unit
14. Placing the client in a low-Fowler’s side-lying position
    Correct Answer:
15. Administering oxygen
16. Inserting a Foley catheter
17. Administering furosemide (Lasix)
    4) The nurse is monitoring a client following cardioversion. Which
    observations should be of highest priority to the nurse?
18. Blood pressure
19. Status of airway
20. Oxygen flow rate
21. Level of consciousness
    Correct Answer: 2. Status of airway
    5) The nurse is assisting in caring for the client immediately after
    insertion of a permanent demand pacemaker via the right subclavian
    vein. The nurse prevents dislodgement of the pacing catheter by
    implementing which intervention?
22. Limiting movement and abduction of the left arm
23. Limiting movement and abduction of the right arm
24. Assisting the client to get out of bed and ambulate with a walker
25. Having the physical therapist do active range of motion to the right
    arm
    Correct Answer: 2. Limiting movement and abduction of the right arm
    6) A client diagnosed with thrombophlebitis 1 day ago suddenly
    complains of chest pain and shortness of breath, and the client is visibly
    anxious. The LPN/LVN understands that a life-threatening complication
    of this condition is which?
26. Pneumonia
27. Pulmonary edema
28. Pulmonary embolism
29. Myocardial infarction
    Correct Answer: 3. Pulmonary embolism
    7) A 24-year-old man seeks medical attention for complaints of
    claudication in the arch of the foot. The nurse also notes superficial
    thrombophlebitis of the lower leg. The nurse should check the client for
    which next?
30. Smoking history
31. Recent exposure to allergens
32. History of recent insect bites
33. Familial tendency toward peripheral vascular disease
    Correct Answer: 1. Smoking history
    8) The nurse has reinforced instructions to the client with Raynaud’s
    disease about self-management of the disease process. The nurse
    determines that the client needs further teaching if the client states
    which?
34. “Smoking cessation is very important.”
35. “Moving to a warmer climate should help.”
36. “Sources of caffeine should be eliminated from the diet.”
37. “Taking nifedipine (Procardia) as prescribed will decrease vessel
    spasm.”
    Correct Answer: 2. “Moving to a warmer climate should help.”
    9) A client with myocardial infarction suddenly becomes tachycardic,
    shows signs of air hunger, and begins coughing frothy, pink-tinged
    sputum. The nurse listens to breath sounds, expecting to hear which
    breath sounds bilaterally?
38. Rhonchi
39. Crackles
40. Wheezes
41. Diminished breath sounds
    Correct Answer: 2. Crackles
    10) The LPN/LVN is collecting data on a client with a diagnosis of rightsided heart failure. The nurse should expect to note which specific
    characteristic of this condition?
42. Dyspnea
43. Hacking cough
44. Dependent edema
45. Crackles on lung auscultation
    Correct Answer: 3. Dependent edema
    11) The LPN/LVN is checking the neurovascular status of a client who
    returned to the surgical nursing unit 4 hours ago after undergoing an
    aortoiliac bypass graft. The affected leg is warm, and the nurse notes
    redness and edema. The pedal pulse is palpable and unchanged from
    admission. The nurse interprets that the neurovascular status is which?
46. Moderately impaired, and the surgeon should be called
47. Normal, caused by increased blood flow through the leg
48. Slightly deteriorating, and should be monitored for another hour
49. Adequate from an arterial approach, but venous complications are
    arising
    Correct Answer: 2. Normal, caused by increased blood flow through the
    leg
    12) A client with a diagnosis of rapid rate atrial fibrillation asks the nurse
    why the health care provider is going to perform carotid massage. The
    LPN/LVN responds that this procedure may stimulate which?